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(1)

GENERAL INSTRUCTIONS FOR THE COMPLETION SPT 1770 DIGITAL FORM

1. This form is in compliance with the regulations the Director General of Taxes Number PER-

34/PJ/2010 about Income Tax Annual Return Form and General Instructions as amended

by regulation the Director General of Taxes Number PER-19/PJ/2014. This form is used for

completion income tax annual tax return for Taxable Year 2014 and onwards;

2. This form is printed with a scale of 98% (not printed in mode "fit size" or "shrink size". This

printing results must be signed and must not be folded or crumpled. Use HVS paper size:

a. F4/Folio/US Folio/

Government Legal

(8,5 X 13 inch);

b. Minimum weight 70 gr;

3. To be able to use this form optimally, use the application Adobe Reader version 8 or newer;

4. Complete the Taxable Year, the identity of the Taxpayer and the other mandatory

information properly (red box

). Taxpayers can contact the tax office where the

Taxpayer is registered to ensure their Taxpayer Indentity Number (TIN) or through

applications on the site

www.pajak.go.id

.

Description of status of married individual are as follows:

a. KK : Tax rights and obligations undertaken by the head of the family;

b. HB : Spouse have lived separated based on a court decision;

c. PH : It is requested in writing by both the husband and wife on the basis of an

agreement for the separation of property and income; and

d. MT : It is requested by the wife who chooses to meet her tax right and obligation

separately.

5. Complete the attachments form first (green box

). Summation formulas,

reduction, connection with certain parts and others have been available in this form, so that

Taxpayers do not need to do a recount (blue box

and brown box

);

6. Blue boxes

and brown boxes

shows the results of automatic

calculation. There are times when automatic calculation is too late to execute. Taxpayer is

expected to keep doing re-checking the results of calculations on this tax return, especially

in the blue boxes

dan brown boxes

;

7. After all attachments completed, complete the main form on the yellow boxes

.

8. In case the taxpayer status is PH or MT, the Personal Exemption and Taxable Income will

automatically filled the symbol 0. Next, Taxpayer complete Calculation Income Tax Payable

for Taxpayers with status PH or MT in the pink boxes

;

9. In case the taxpayer status is KK or HB, the Personal Exemption filled by the taxpayer in

accordance with the provisions;

10. Completion the main form continued in purple boxes

until finished;

11. The

SHOW

button used to show calculation formulas in completing digital tax return;

12. The

RESET

button used to clear the data of digital tax return form that have been loaded

previously. After completing the tax return and print it, do not forget to save it to another file

(Save-as and name different from the original file), then use the

RESET

button to clear the

file;

13. The

HIDE

button used to hide the calculation formula so that it can be printed blank form if

you want to complete it manually;

(2)

FOR TAXPAYER WHO HAVE INCOME:

FROM ONE OR MORE EMPLOYER; AMENDED RETURN

OTHER DOMESTIC INCOME; AND/OR

SUBJECTED TO FINAL AND/OR FINALIZED TAX.

FOLLOW INSTRUCTION IN THE INSTRUCTION BOOK

MARK " X " IN THE APPROPRIATE BOX

:

TAXPAYER'S NAME :

OCCUPATION : KLU :

PHONE NUMBER : - FAX. NUMBER :

-: KK HB PH MT

SPOUSE'S TIN :

*) The filing columns of Rupiah value must be without decimal value (see example in page 3 of instructions)

1 …….………..

[Total net income from each Form 1721-A1 and/or 1721-A2 attached or other Withholding Tax Receipt]

2 OTHER DOMESTIC NET INCOME ……….

[From Form 1770 S-I Total Part A ]

3 FOREIGN NET INCOME ……….

[Complete it from separate attachment, if any foreign income, see instruction book]

4 TOTAL NET INCOME (1+2+3) ………

5 ZAKAT/OBLIGATED CHARITY ………

………

7 PERSONAL EXEMPTIONS TK / K / K / I /

8 TAXABLE INCOME (6-7) ………. 8

9 TAX PAYABLE (TAX RATE ON ARTICLE 17 X LINE 8) ………

11 TOTAL TAX PAYABLE (9+10) ………

12

[From Form 1770 S-I Total Part C column (7)]

13 a. TAX DUE AFTER CREDIT3 ………..

b. TAX OVERLY WITHHELD

14 a. MONTHLY INSTALLMENT OF INCOME TAX ARTICLE 25

15 TOTAL TAX CREDIT (14a + 14b)

16 a. UNDERPAID TAX (INCOME TAX ARTICLE 29)

b. OVERPAID TAX (INCOME TAX ARTICLE 28 A)

17 REQUEST: Overpaid amount stated in 16.b would be :

a. REFUNDED c. REFUNDED WITH SKPPKP ARTICLE 17 C (COMPLIANCE TAXPAYER)

b. d. REFUNDED WITH SKPPKP ARTICLE 17 D (CERTAIN CRITERIA OF TAXPAYER)

18 MONTHLY INSTALLMENT FOR THE SUBSEQUENT YEAR 18

THE AMOUNT IS CALCULATED BY:

a. 1/12 X THE TOTAL OF LINE 13

b. CALCULATION IN SEPARATE ATTACHMENT

a. Copy of Form 1721-A1 and/or 1721-A2 or Withholding Receipt of Income Tax Art.21 d.

b. Tax Payment Receipt of Income Tax Article 29 e. ………..

c. Power of Attorney (If Needed)

TAXPAYER REPRESENTATIVE DATE

COMPLETE NAME :

TIN :

TOTAL NET INCOME AFTER ZAKAT/OBLIGATED CHARITY (4-5)

2 [For Taxpayers with status PH/MT filled from Attachment Calculation of Income Tax Payable as referred to in Section G: Attachments letter d]

14a

14b ADJUSTMENT FOR FOREIGN TAX CREDITS REFUNDED AND HAD BEEN CREDITED IN THE PREVIOUS

YEAR RETURN (Income Tax Article 24) 10

OF THE REPUBLIC OF INDONESIA

PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INK

ATTENTION:

1770 S

MINISTRY OF FINANCE

ANNUAL INDIVIDUAL INCOME TAX RETURN

TAXPAYER IDENTIFICATION NUMBER (TIN)

COMPENSATED WITH OUTSTANDING TAX PAYABLE TAX LIABILITY STATUS OF

MARRIED INDIVIDUAL

(13-15)

……….. SETTLED ON

PREPAID TAX:

10

DIRECTORATE GENERAL OF TAXES

Data changes application submitted apart from this Tax Return, by using the Taxpayer Data Change Form and attached with the

required documents.

11 DOMESTIC NET INCOME IN RESPECT OF EMPLOYMENT

(11-12)

TAX WITHHELD BY OTHER PARTY, PAID /WITHHELD IN FOREIGN AND BORNED BY THE GOVERNMENT

T NOTICE OF TAX COLLECTION ON INCOME TAX ARTICLE 25

(PRINCIPAL ONLY) Understanding all the sanctions provided by the law and regulations, i hereby declare that the information stated in this return, including all attachments provided, are true, complete, clear, and under no circumtances whatsoever.

F. MONTHLY

INSTALLMENT OF

INCOME TAX ART

ICLE

Income Tax Calculation For Married Taxpayer with Separation of Property and Income (PH) or Has Her Own TIN (MT)

(3)

••

TIN

:

TAXPAYER'S NAME

:

PART A : OTHER DOMESTIC NET INCOMES

(NOT INCLUDING INCOME SUBJECT TO FINALIZED INCOME TA)

(1)

PART B : NON TAXABLE INCOME

(1)

PART C : LIST OF INCOME TAX WITHHELD BY OTHER PARTIES, PAID/WITHHELD IN FOREIGN AND BORNED BY THE GOVERNMENT

(1)

5. etc

Copy Total Part C to Form 1770 S Part D Line 12 Catatan :

*) - DTP : BORNED BY THE GOVERNMENT

- Fill column (6) with following options: 21/22/23/24/26/DTP (Example: 21, 22, 23, 24, 26, DTP)

- If there is a Tax Credit of Income Tax Article 24, the column should be filled with maximum creditable amount according to separate attachment (Follow the Instruction related to Part C of Attachment I and Annual Tax Return line 3)

Page from pages Attachment-I

IF NEEDED, ADDITIONAL PAGES MAY BE ADDED

TPC TOTAL PART C

1.

2.

3.

4.

(3)

AID / DONATION / GRANT

TPA

CLAIM ON HEALTH, ACCIDENT, LIFE, DUAL PURPOSE AND SCHOLARSHIP 1.

RENT ROYALTIES

AWARDS AND PRIZES

5.

6.

TYPES OF INCOME GAIN FROM THE SALE/TRANSFER OF PROPERTY

OTHER INCOMES

MINISTRY OF FINANCE

(7) (6)

(2) (3) (4) (5)

TOTAL PART B

DATE TPB SCHOLARSHIP

NUMBER

Copy Total Part A to Form 1770 S Part A line 2 TOTAL PART A

INTEREST TOTAL NET INCOME

(Rupiah)

OF THE REPUBLIC OF INDONESIA

2

0

NO. TYPES OF INCOME

DIRECTORATE GENERAL OF TAXES

ATTACHMENT - I

ANNUAL INDIVIDUAL INCOME TAX RETURN

OTHER DOMESTIC NET INCOMES NON TAXABLE INCOME

LIST OF INCOME TAX WITHHELD BY OTHER PARTIES, PAID/WITHHELD IN FOREIGN AND BORNED BY THE GOVERNMENT

(2)

DISTRIBUTION OF PROFIT EARNED BY MEMBER OF PARTNERSHIP WHOSE CAPITAL DOES NOT CONSIST OF SHARES, PARTNERSHIP, ASSOCIATION, AND FIRM

NAME OF WITHHOLDING AGENT TIN OF WITHHOLDING AGENT WITHHOLDING TAX RECEIPT

TYPES OF TAX : INCOME TAX ARTICLE

21/22/23/24/26/DTP *)

TOTAL OF INCOME TAX WITHHELD

(Rupiah) (2)

(Rupiah)

GROSS INCOME

OTHER NON TAXABLE INCOME

0

0

(4)

INCOME SUBJECT TO FINAL TAX AND/OR FINALIZED TAX

ASSETS AT YEAR-END

LIABILITIES AT YEAR- END

LIST OF MEMBER OF FAMILY'S DEPENDENT

TIN

:

TAXPAYER'S NAME

:

PART A : INCOME SUBJECT TO FINAL TAX AND/OR FINALIZED TAX

(1)

: ASSETS AT YEAR-END NO.

(1)

5. etc

PART C : LIABILITIES AT YEAR- END

(1)

5 dst

PART D : LIST OF MEMBER OF FAMILY'S DEPENDENT

NO.

Page from pages Attachment-II

TOTAL

4 3

IF NEEDED, ADDITIONAL PAGES MAY BE ADDED

OCCUPATION (5) NAME

(2)

IDENTITY NUMBER (NIK) (3)

RELATIONSHIP IN FAMILY (4)

13. WIFE INCOME FROM ONE EMPLOYER

INCOME FROM DERIVATIVE TRANSACTION

NO.

TRANSFER VALUE OF RIGHTS ON LAND AND BUILDING 6. INCOME TAX PAYABLE

HONORARIUM FROM CENTRAL AND LOCAL STATE BUDGET

(Rupiah)

CODE TYPE OF ASSETS

(2) (3)

LOTTERY PRIZES

COST OF ACQUISITION

(Rupiah)

OF THE REPUBLIC OF INDONESIA

TYPES OF INCOME

ANNUAL INDIVIDUAL INCOME TAX RETURN

DIRECTORATE GENERAL OF TAXES

ATTACHMENT - II

(2) (3)

1.

(Rupiah)

2

0

TOTAL PART A TPA

(4)

LEASE/RENT VALUE ON LAND OR BUILDING

TPB

OTHER INCOME SUBJECT TO FINAL TAX AND OR FINALIZED TAX

LENDER ADDRESS YEAR LENDING TOTAL PART B

NAME OF LENDER

JUMLAH BAGIAN C

(4) (5) (6)

JBC 2

1

1770 S - II

MINISTRY OF FINANCE

TAX BASE/GROSS INCOME

INTEREST OF DEPOSIT, SAVINGS, DISCOUNT OF CENTRAL BANK'S CERTIFICATE, STATE SECURITIES

INTEREST/DISCOUNT OF BOND

SALES VALUE OF SHARES TRADED IN THE STOCK

SEVERANCE PAYMENT, RETIREMENT ALLOWANCE AND PENSIONS PAID IN LUMP SUM

PROPERTY RECEIVED FROM BUILD OPERATE TRANSFER SCHEME

SAVING INTEREST PAID BY COOPERATIVE TO MEMBER

0

0

(5)

No.

's Net Income

(1) (3)

A

1

DOMESTIC NET INCOME FROM BUSINESS ACTIVITIES AND/OR INDEPENDENT PERSONAL SERVICE

[From Form 1770 Part A line 1]

2

DOMESTIC NET INCOME IN RESPECT OF EMPLOYMENT

[From Form 1770 Part A Line 2 or Form 1770 S Part A Line 1]

3

OTHER DOMESTIC NET INCOME

[From Form 1770 Part A line 3 or Form 1770 S Part A line 2]

4

FOREIGN NET INCOME

[From Form 1770 Part A line 4 or Form 1770 S Part A line 3]

5

ZAKAT/OBLIGATED CHARITY

[From Form 1770 Part A line 6 or Form 1770 S Part A line 5]

6

TOTAL

( 1 + 2 + 3 + 4 - 5 )

7

LOSS CARRY FORWARD

[Only for Individual Taxpayer who applying bookkeeping system. From Form 1770 Part A line 8]

8

TOTAL NET INCOME

( 6 - 7 )

No

(1)

B

C

D

E

1

5% x

2

15% x

3

25% x

4

30% x

F

G

Name :

TIN :

Signature

Name :

TIN :

Signature

(2) (4)

WORKPAPER OF INCOME TAX PAYABLE CALCULATION

Description

's Net Income

FOR MARRIED INDIVIDUAL WHO HAVE TAX LIABILITY STATUS MARRIED WITH AN AGREEMENT FOR THE SEPARATION OF PROPERTY AND

INCOME (PH) OR THE WIFE CHOOSE TO MEET HER TAX RIGHT AND OBLIGATION SEPARATELY (MT)

NET INCOME

Description

Value

(2) (3)

TOTAL HUSBAND AND WIFE'S NET INCOME

[ A.8.(3) + A.8.(4) ]

PERSONAL EXEMPTIONS

TAXABLE INCOME

[ B - C ]

INCOME TAX PAYABLE (COMBINED)

TOTAL INCOME TAX PAYABLE (COMBINED)

PORTION INCOME TAX PAYABLE FOR

[ (A.8.(3) / B) x E ]

[Copy to 's Tax Return Part C Line 12 Form 1770 or Part C Line 9 Form 1770 S]

PORTION INCOME TAX PAYABLE FOR

[ (A.8.(4) / B) x E ]

[Copy to 's Tax Return Part C Line 12 Form 1770 or Part C Line 9 Form 1770 S]

Suami

Isteri

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Suami

Suami

0

Isteri

Isteri

0

Suami

(6)
(7)

BAGI WAJIB PAJAK YANG MEMPUNYAI PENGHASILAN :

DARI SATU ATAU LEBIH PEMBERI KERJA; SPT PEMBETULAN KE -

DALAM NEGERI LAINNYA; DAN/ATAU

YANG DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL.

SEBELUM MENGISI BACA DAHULU PETUNJUK PENGISIAN

BERI TANDA "X" PADA (KOTAK PILIHAN) YANG SESUAI

NPWP :

NAMA WAJIB PAJAK :

PEKERJAAN : KLU :

NO. TELEPON : - NO. FAKS :

-: KK HB PH MT

NPWP ISTERI / SUAMI :

*) Pengisian kolom-kolom yang berisi nilai rupiah harus tanpa nilai desimal (contoh penulisan lihat petunjuk pengisian halaman 3)

1 …….………..

[Diisi akumulasi jumlah penghasilan neto pada setiap Formulir 1721-A1 dan/atau 1721-A2 yang dilampirkan atau Bukti Potong Lain]

2 PENGHASILAN NETO DALAM NEGERI LAINNYA ………. [Diisi sesuai dengan Formulir 1770 S-I Jumlah Bagian A ]

3 PENGHASILAN NETO LUAR NEGERI ………. [Apabila memiliki penghasilan dari luar negeri agar diisi dari Lampiran Tersendiri, lihat petunjuk pengisian]

4 JUMLAH PENGHASILAN NETO (1+2+3) ………

5 ZAKAT/SUMBANGAN KEAGAMAAN YANG SIFATNYA WAJIB ………

6 ………

7 PENGHASILAN TIDAK KENA PAJAK TK / K / K / I /

8 PENGHASILAN KENA PAJAK (6-7) ………. 8

9 PPh TERUTANG (TARIF PASAL 17 UU PPh x ANGKA 8) ………

10 PENGEMBALIAN / PENGURANGAN PPh PASAL 24 YANG TELAH DIKREDITKAN ………

11 JUMLAH PPh TERUTANG (9+10) ………

12

NEGERI DAN/ATAU TERUTANG DI LUAR NEGERI [Diisi dari Formulir 1770 S-I Jumlah Bagian C Kolom (7)] 13 a. PPh YANG HARUS DIBAYAR SENDIRI ………..

b. PPh YANG LEBIH DIPOTONG/DIPUNGUT

14 a. PPh PASAL 25 ………

b. STP PPh Pasal 25 (Hanya Pokok Pajak) ………

15 JUMLAH KREDIT PAJAK (14a + 14b)

16 a. PPh YANG KURANG DIBAYAR (PPh PASAL 29) b. PPh YANG LEBIH DIBAYAR (PPh PASAL 28 A)

17 PERMOHONAN : PPh Lebih Bayar pada 16b mohon :

a. DIRESTITUSIKAN c. DIKEMBALIKAN DENGAN SKPPKP PASAL 17C (WP dengan Kriteria Tertentu)

b. d. DIKEMBALIKAN DENGAN SKKPP PASAL 17D (WP yang Memenuhi Persyaratan Tertentu)

18 ANGSURAN PPh PASAL 25 TAHUN PAJAK BERIKUTNYA SEBESAR 18 DIHITUNG BERDASARKAN :

a. 1/12 x JUMLAH PADA ANGKA 13

b. PENGHITUNGAN DALAM LAMPIRAN TERSENDIRI

a. Fotokopi Formulir 1721-A1 atau 1721-A2 atau Bukti Potong PPh Pasal 21 d.

b. Surat Setoran Pajak Lembar Ke-3 PPh Pasal 29 e.

c. Surat Kuasa Khusus (Bila dikuasakan)

WAJIB PAJAK KUASA TANGGAL

NAMA LENGKAP :

N P W P :

JUMLAH PENGHASILAN NETO SETELAH PENGURANGAN ZAKAT /SUMBANGAN KEAGAMAAN YANG SIFATNYA WAJIB (4-5)

2 [Bagi Wajib Pajak dengan status PH atau MT diisi dari Lampiran Perhitungan PPh Terutang sebagaimana dimaksud dalam bagian G: Lampiran huruf d]

14a

14b

2 0

SPT TAHUNAN

C

KEMENTERIAN KEUANGAN RI

PAJAK PENGHASILAN WAJIB PAJAK ORANG PRIBADI

ISI DENGAN HURUF CETAK /DIKETIK DENGAN TINTA HITAM

PERHATIAN

DIPERHITUNGKAN DENGAN UTANG PAJAK

STATUS KEWAJIBAN PERPAJAKAN SUAMI-ISTERI

(13-15)

……….. TGL LUNAS

PPh YANG DIBAYAR SENDIRI

10

DIREKTORAT JENDERAL PAJAK

Permohonan perubahan data disampaikan terpisah dari pelaporan SPT Tahunan PPh Orang Pribadi ini, dengan menggunakan

Formulir Perubahan Data Wajib Pajak dan dilengkapi dokumen yang disyaratkan.

11 PENGHASILAN NETO DALAM NEGERI SEHUBUNGAN DENGAN PEKERJAAN

(11-12)

PPh YANG DIPOTONG/DIPUNGUT PIHAK LAIN/DITANGGUNG PEMERINTAH DAN/ATAU KREDIT PAJAK LUAR

T Dengan menyadari sepenuhnya akan segala akibatnya termasuk sanksi-sanksi sesuai dengan ketentuan peraturan perundang-undangan yang berlaku, saya menyatakan bahwa yang telah beritahukan diatas beserta lampiran-lampirannya adalah benar, lengkap dan jelas.

F

Perhitungan PPh Terutang bagi Wajib Pajak dengan status perpajakan PH atau MT

(8)

••

N P W P

:

NAMA WAJIB PAJAK

:

BAGIAN A : PENGHASILAN NETO DALAM NEGERI LAINNYA

(TIDAK TERMASUK PENGHASILAN DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL)

(1)

angka (2)

BAGIAN B : PENGHASILAN YANG TIDAK TERMASUK OBJEK PAJAK

(1)

BAGIAN LABA ANGGOTA PERSEROAN KOMANDITER TIDAK ATAS SAHAM, PERSEKUTUAN, PERKUMPULAN, FIRMA, KONGSI

BAGIAN C : DAFTAR PEMOTONGAN/PEMUNGUTAN PPh OLEH PIHAK LAIN DAN PPh YANG DITANGGUNG PEMERINTAH

(1)

5. dst

Pindahkan Jumlah Bagian C ke Formulir

Catatan : Induk 1770 S Bagian D angka 12

*) - DTP : Ditanggung Pemerintah

- Kolom (6) diisi dengan pilihan PPh Pasal 21/22/23/24/26/DTP (Contoh : ditulis 21, 22, 23, 24, 26, DTP)

- Jika terdapat kredit pajak PPh Pasal 24, maka jumlah yang diisi adalah maksimum yang dapat dikreditkan sesuai lampiran tersendiri (lihat petunjuk pengisian tentang Lampiran I Bagian C dan Induk SPT angka 3)

Halaman ke- dari halaman Lampiran-I

JIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI

JBC JUMLAH BAGIAN C

1.

KLAIM ASURANSI KESEHATAN, KECELAKAAN, JIWA, DWIGUNA, BEASISWA

PEMUNGUT PAJAK 1.

SEWA ROYALTI

PENGHARGAAN DAN HADIAH

5.

6.

JENIS PENGHASILAN KEUNTUNGAN DARI PENJUALAN/PENGALIHAN HARTA

PENGHASILAN LAINNYA PENGHASILAN LAINNYA YANG TIDAK TERMASUK OBJEK PAJAK

BUKTI PEMOTONGAN/ PEMUNGUT PAJAK

(7) (6)

DIPOTONG / DIPUNGUT PPh PASAL 21/

(2) (3) (4) (5)

22/23/24/26/DTP*

JENIS PAJAK : JUMLAH PPh YANG

JUMLAH BAGIAN B

NPWP PEMOTONG/

JUMLAH PENGHASILAN (Rupiah)

KEMENTERIAN KEUANGAN RI

2

0

NO. JENIS PENGHASILAN

DIREKTORAT JENDERAL PAJAK

LAMPIRAN - I

SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI

PENGHASILAN NETO DALAM NEGERI LAINNYA

PENGHASILAN YANG TIDAK TERMASUK OBJEK PAJAK

DAFTAR PEMOTONGAN/PEMUNGUTAN PPh OLEH PIHAK LAIN DAN PPh YANG DITANGGUNG PEMERINTAH

(2)

(2)

WARISAN

(Rupiah) JUMLAH PENGHASILAN Pindahkan Jumlah Bagian A ke Formulir Induk 1770 S Bagian A

JUMLAH BAGIAN A

BUNGA

0

0

(9)

PENGHASILAN YANG DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL

HARTA PADA AKHIR TAHUN

KEWAJIBAN/UTANG PADA AKHIR TAHUN

DAFTAR SUSUNAN ANGGOTA KELUARGA

N P W P

:

NAMA WAJIB PAJAK

:

BAGIAN A : PENGHASILAN YANG DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL

(1)

BUNGA DEPOSITO, TABUNGAN, DISKONTO SBI, SURAT BERHARGA NEGARA

PESANGON, TUNJANGAN HARI TUA DAN TEBUSAN PENSIUN YANG DIBAYARKAN SEKALIGUS

BANGUNAN YANG DITERIMA DALAM RANGKA BANGUN GUNA SERAH

BUNGA SIMPANAN YANG DIBAYARKAN OLEH KOPERASI KEPADA ANGGOTA KOPERASI

PENGHASILAN LAIN YANG DIKENAKAN PAJAK FINAL DAN/ATAU BERSIFAT FINAL

: HARTA PADA AKHIR TAHUN

NO.

(1)

5. dst

BAGIAN C : KEWAJIBAN/UTANG PADA AKHIR TAHUN

(1)

5 dst

BAGIAN D : DAFTAR SUSUNAN ANGGOTA KELUARGA

NO.

Halaman ke- dari halaman Lampiran-II 4

3

JIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI

PEKERJAAN

JUMLAH BAGIAN B

NAMA PEMBERI PINJAMAN 2.

13. PENGHASILAN ISTERI DARI SATU PEMBERI KERJA PENGHASILAN DARI TRANSAKSI DERIVATIF NO.

PENGALIHAN HAK ATAS TANAH DAN/ATAU BANGUNAN

2

0

JUMLAH BAGIAN A JBA

(4)

(Rupiah)

KODE

HARTA NAMA HARTA

(2) (3)

HONORARIUM ATAS BEBAN APBN/APBD

HARGA PEROLEHAN (Rupiah)

KEMENTERIAN KEUANGAN RI

SUMBER/JENIS PENGHASILAN

SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI

DIREKTORAT JENDERAL PAJAK

1770 S - II

LAMPIRAN - II

PENJUALAN SAHAM DI BURSA EFEK

(2) (3)

DASAR PENGENAAN PAJAK/ PENGHASILAN BRUTO

1.

(Rupiah)

BUNGA/DISKONTO OBLIGASI

NO. UTANGKODE

SEWA ATAS TANAH DAN/ATAU BANGUNAN

JBB

PEMINJAMAN TAHUN ALAMAT

JUMLAH BAGIAN C

(10)

No.

Penghasilan Neto

(1) (3)

A

1 PENGHASILAN NETO DALAM NEGERI DARI USAHA DAN/ATAU PEKERJAAN BEBAS

[Diisi dari Formulir 1770 Bagian A angka 1]

2 PENGHASILAN NETO DALAM NEGERI SEHUBUNGAN DENGAN PEKERJAAN

[Diisi dari Formulir 1770 Bagian A angka 2 atau Formulir 1770 S Bagian A angka 1]

3 PENGHASILAN NETO DALAM NEGERI LAINNYA

[Diisi dari Formulir 1770 Bagian A angka 3 atau Formulir 1770 S Bagian A angka 2]

4 PENGHASILAN NETO LUAR NEGERI

[Diisi dari Formulir 1770 Bagian A angka 4 atau Formulir 1770 S Bagian A angka 3]

5 ZAKAT / SUMBANGAN KEAGAMAAN YANG BERSIFAT WAJIB

[Diisi dari Formulir 1770 Bagian A angka 6 atau Formulir 1770 S Bagian A angka 5]

6 JUMLAH

( 1 + 2 + 3 + 4 - 5 )

7 KOMPENSASI KERUGIAN

[Khusus Bagi WP OP yang menyelenggarakan pembukuan. Diisi dari Formulir 1770 Bagian A angka 8]

8 JUMLAH PENGHASILAN NETO

( 6 - 7 )

No

(1)

B

C

D

E

1 5% x

2 15% x

3 25% x

4 30% x

F

G

Nama :

NPWP :

Tanda Tangan

Nama :

NPWP :

Tanda Tangan

JUMLAH PAJAK PENGHASILAN TERUTANG (GABUNGAN)

PPh TERUTANG YANG DITANGGUNG

[ (A.8.(3) / B) x E ]

[Pindahkan nilai pada bagian ini ke SPT bagian C angka 12 Formulir 1770 atau ke bagian C angka 9 Formulir 1770 S]

PPh TERUTANG YANG DITANGGUNG

[ (A.8.(4) / B) x E ]

[Pindahkan nilai pada bagian ini ke SPT bagian C angka 12 Formulir 1770 atau ke bagian C angka 9 Formulir 1770 S]

,

(2) (3)

JUMLAH PENGHASILAN NETO SUAMI DAN ISTERI

[ A.8.(3) + A.8.(4) ]

PENGHASILAN TIDAK KENA PAJAK

PENGHASILAN KENA PAJAK

[ B - C ]

PAJAK PENGHASILAN TERUTANG (GABUNGAN)

Uraian

Nilai

PENGHASILAN NETO

(2) (4)

LEMBAR PENGHITUNGAN PAJAK PENGHASILAN TERUTANG

BAGI WAJIB PAJAK YANG KAWIN DENGAN STATUS PERPAJAKAN SUAMI-ISTERI PISAH HARTA DAN PENGHASILAN (PH) ATAU

ISTERI YANG MENGHENDAKI UNTUK MENJALANKAN HAK DAN KEWAJIBAN PERPAJAKANNYA SENDIRI (MT)

Uraian

Suami

Penghasilan Neto

0

0

0

0

0

0

Isteri

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Suami

Suami

0

Isteri

Isteri

0

Suami

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